Okufanele Ukwazi Ngama-Dilaudid
I-Dilaudid, eyaziwa nangokuthi i-Hydromorphone HCl, i-analgesic ye-narcotic. Lokhu kusho ukuthi i-Dilaudid ifana nemithi efana ne- morphine futhi inikeza ukuphumula kobuhlungu. Le mithi itholakale kuphela ngodokotela, futhi ngokuvamile isetshenziswa esibhedlela ngenxa yobuhlungu ngemva kwenqubo noma ukulimala.
I-dilaudid yenziwa ngokusebenzisa isitshalo se-poppy futhi ibizwa nangokuthi i-opioid, njengoba nayo yonke imithi etholakala kuma-poppies.
I-dilaudid ibuye ithengiswe ngaphansi kwegama elithi Palladone, i-Palladone SR, iDihydromorphinone, neHydromorphone Hydrochloride.
Kungani Kudingeka Isigwebo?
IV Dilaudid isetshenziselwa ukuphatha ubuhlungu ngemuva kokuhlinzwa, kanye nezinye izinhlobo zobuhlungu, ngokuvamile lapho isiguli sigcina esibhedlela. Kwezinye izimo ezingavamile, isetshenziselwa ukuphatha ukukhwehlela okumile, ukukhwehlela. I-dilaudid ngokuvamile ayisebenziswanga ubuhlungu obungapheliyo, kodwa ukuphumula kwesikhashana esifushane. I-dilaudid ngokuvamile inikezwa ubuhlungu obunzima, njengoba imithi enamandla kakhulu yobuhlungu futhi ingase ibe namandla kakhulu ekusizeni ubuhlungu obukhulu noma obukhulu.
Ifomu lephilisi, i-Dilaudid ingasetshenziselwa ubuhlungu bomdlavuza noma ukuphatha ubuhlungu obukhulu kumuntu ongasabhedlela. Akuvamile ukuthola imithi yokuhlunguphazwa kwe-IV ngaphandle kwesibhedlela, ngakho-ke ifomu lomlomo lisetshenziselwa ukuhlala ngemva kokuphela kwesiguli. Ngokuvamile, i-Dilaudidi imisiwe lapho ukuhlala esibhedlela sekuphelile futhi imithi encane enamandla, njenge-hydrocodone (Norco) noma i- oxycodone (Percocet) inikelwa.
Ukwaziswa Kanjani?
Esendaweni yesibhedlela, i-Dilaudid inganikezwa nge-IV, njenge- epidural , noma ifomu lepilisi. I-Dilaudidi inganikezwa ngokuqhubekayo njengoba i-IV igoqa, noma inganikwa umthamo owodwa ngesikhathi esisodwa nge-IV line (njenge-bolus). Kwezinye izimo, i-Dilaudid isetshenziselwa ipompo ye-PCA - iphompo lobuhlungu ehlinzeka ngemithi yokwelashwa okhethiwe lapho inkinobho icindezelwe yisiguli.
I-dilaudid imisiwe ngokujwayelekile kwifomu yepilisi yokusetshenziswa ngemuva kokukhishwa esibhedlela, kodwa itholakala njengetshezi uma kudingeka.
Okuqhamuka uma udla imishanguzo
Omunye wemiphumela emibi kakhulu ye-Dilaudid nezinye izidakamizwa ukuqothulwa. Ngemuva kokuhlinzwa, ukuqotshwa kungaba yinkinga enkulu , ngakho kubalulekile ukuphuza amanzi amaningi futhi uzame ukudla kahle emva kokuhlinzwa , uqiniseke ukuthi uhlanganisa ukudla okuphezulu e-fiber.
Ngokufana ne-morphine, i-Dilaudid ingabangela ubuthongo nokugubha kwengqondo. Kungenza uzizwe u "dopey" noma "uhambe kancane." Isiviva singabuye sibangele, njengoba i-Dilaudidi inganciphisa ukucindezelwa kwegazi. Ngenxa yalezi zizathu, ukushayela kanye neminye imisebenzi engaba yingozi uma ulele ngenkathi ukwenza kufanele kwenziwe kuphela ngokuqapha futhi ngemuva kokuba wazi ukuthi usabela kanjani emthamo wakho wemithi.
I-dilaudid ibuye isebenze njengokucindezela kokukhwehlela. Ngemuva kokuhlinzwa okukhulu, i-pneumonia iyingozi, ngakho-ke kubalulekile ukukhwehlela ngokujulile njalo ukuze kugcinwe amaphaphu. Uma unenkinga yokukhumbula ukukhwehlela, isikhumbuzo esisodwa esihle ukukhwehlela izikhathi ezimbalwa uma ikhefu lokuhweba lifika ngenkathi libuka ithelevishini.
Izixwayiso
- I-dilaudid akufanele isetshenziswe ngababeletha besifazane njengoba itholakala ebisi lwebele.
- I-Dilaudid ayingafundiwe ukusetshenziswa kwabesifazane abakhulelwe.
- Abantu asebekhulile baye bathola ukuthi bazwela kakhulu kwi-Dilaudid futhi kufanele banakekele kuze kube khona umthamo ofanelekile.
- I-Dilaudid encane kakhulu (ukudlula ngokweqile) ingacindezela uhlelo lokuphefumula futhi ibangele ukuphefumula kumise ngokuphelele.
- Lesi sidakamizwa akufanele sithathwe ngaphambi kokushayela noma ukusebenzisa imishini.
- Ukuhlanganisa i-Dilaudid nezinye izidakamizwa ezibangela ukulala kungaba yingozi.
Umlutha we-Dilaudid
I-Dilaudid inayo impahla yokulutha futhi kufanele iphathwe ngokuqapha uma isetshenziselwa isikhathi eside kunamaviki ambalwa. Uma isetshenziswe kahle, futhi ngokusho kwemiyalelo, ukulutha umlutha ngokuvamile akuyona inkinga emva kokuhlinzwa, njengoba isetshenziselwa kuphela ngesikhathi sokuqala sokuphumula.
Ukusetshenziswa okungekho emthethweni, okusho ukuthi ukusebenzisa i-Dilaudid uma kungekho isizathu esidingekayo sempilo sokwenza kanjalo noma ngaphandle kwemithi kadokotela, kungaholela ekugqilazweni kanye nezimpawu zokuhoxiswa lapho umuthi umiswa.
Izwi Elivela Esihle Kakhulu
I-dilaudid imithi ewusizo kakhulu uma isetshenziswe ngendlela efanele. Iziguli ezisebuhlungu obukhulu ngemuva kokulimala noma inqubo, i-IV Dilaudid inganikeza usizo oluyidingayo. Lokho kusho ukuthi i-Dilaudid inekhono lokuhlukunyezwa futhi ingaba umlutha uma isetshenziswe ngendlela engafanele. Njenganoma iyiphi i-opioid, sebenzisa kuphela okudingayo futhi ume ngokuphelele lapho ungasayidingi imithi ukuze ugweme noma yiziphi izinkinga zesikhathi eside ngokuthembela.
Imithombo:
I-Med Med Daily. I-HyCromorphone HCl. http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=2189#nlm34069-5